Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CDM 47884985 · KYLE, TX

47884985 — Icd Def Compia MRI Quad Crt-d

What each payer pays ASCENSION SETON HAYS (CCN 670056) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$186,604 All-payer median here
$142,931 Cash / self-pay here
75 payer/plan-name variants
← This hospital National rates for 47884985 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
BCBS OON $397,030 112.8% 4
PROVIDER LIABLE $397,030 112.8% 1
HEART SAVER $397,030 112.8% 2
HEALTH SOUTH LAB $397,030 112.8% 1
CDM DEFAULT - NON-NEGOTIATED RATE $397,030 112.8% 1
ORGAN SHARING ALLIANCE $397,030 112.8% 1
ASCENSION PERSONALIZED CARE $397,030 112.8% 1
HOSPICE AUSTIN 20161001 $397,030 112.8% 1
OXFORD HEALTH INSURANCE $377,178 102.1% 1
PPO NEXT (EBD,SHL) 20140101 $377,178 102.1% 1
Health Net $367,253 96.8% 2
CAPP CARE Inc $367,253 96.8% 2
BeechStreet Corporation $357,327 91.5% 1
COASTAL COMP $357,327 91.5% 1
SHANNON HEALTH PLAN $357,327 91.5% 1
Provider Network of America (PNOA) $357,327 91.5% 1
Galaxy Health Network $357,327 91.5% 1
HEALTHSMART PPO $357,327 91.5% 1
INTERPLAN $357,327 91.5% 1
UHC STUDENT RESOURCE $357,327 91.5% 2
INTEGRATED PPO $353,356 89.4% 1
Provider Partners Health Plan (PPHP) $353,356 89.4% 2
Great-West Healthcare $347,401 86.2% 2
Devoted Health $345,416 85.1% 1
Cigna Healthcare $337,475 80.9% 10
Medicare (Generic) $337,475 80.9% 3
WellMed Medical Management (UHC subsidiary) $337,475 80.9% 2
ADDR CANCER TOGETHER $337,475 80.9% 2
TRICARE $337,475 80.9% 2
MultiPlan $317,624 70.2% 1
TRUE CHOICE $317,624 70.2% 1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 $317,624 70.2% 1
PHCS (Private Healthcare Systems) $317,624 70.2% 3
AVERDE HEALTH $317,624 70.2% 1
First Health Network $309,683 66.0% 1
FIRST CARE PPO $297,772 59.6% 2
FIRST CARE HMO $297,772 59.6% 2
COVENTRY HPN (EBD,SHL) 20140101 $277,921 48.9% 1
HEALTHSMART BENEFIT SOLUTIONS $277,921 48.9% 2
EMPHESYS INSURANCE COMPANY $269,980 44.7% 1
Humana $269,980 44.7% 9
SMARTHEALTH $264,025 41.5% 4
BCBS HMO ESSENTIALS $248,144 33.0% 2
VISTA HEALTH $238,218 27.7% 2
CSHCN CIDC $232,262 24.5% 2
FIRST CARE PROVIDENCE $230,277 23.4% 1
SETON PERFORMANCE PLUS $228,292 22.3% 4
Oscar Health $220,352 18.1% 2
WHOLE FOODS $212,411 13.8% 2
BCBS HPN $202,485 8.5% 3
FIRST CARE PROVIDENCE EMPLOYEE $198,515 6.4% 2
Aetna $194,545 4.3% 23
UnitedHealthcare $182,634 -2.1% 26
AUSTIN STATE HOSPITAL $178,663 -4.3% 1
BCBS BAV EXCHANGE $162,782 -12.8% 2
Superior HealthPlan $158,812 -14.9% 20
Sendero IdealCare $134,990 -27.7% 1
CORNERSTONE $119,109 -36.2% 1
COVENANT HEALTH $115,139 -38.3% 3
TX REHAB $107,198 -42.6% 1
TEXAS REHAB $91,317 -51.1% 1
UTMB $91,317 -51.1% 1
WINGS $87,347 -53.2% 1
TRAVIS COUNTY INDIGENT $57,569 -69.1% 2
COUNTY INDIGENT $55,584 -70.2% 3
BCBS of Texas $55,584 -70.2% 8
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 $47,644 -74.5% 1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 $43,673 -76.6% 1
DELL CHILDRENS HEALTH PLAN $39,703 -78.7% 8
BCBS CHIP/CHIP PERINATE $39,703 -78.7% 6
UnitedHealthcare Community Plan $39,703 -78.7% 4
Amerigroup $39,703 -78.7% 12
WELLPOINT CHIP/CHIP PERINATE $39,703 -78.7% 4
WELLPOINT STAR KIDS $39,703 -78.7% 2
HEART SAVER VETERANS $75 -100.0% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.